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Venetoclax-based combinations in AML and high-risk MDS prior to and following allogeneic hematopoietic cell transplant
被引:20
|作者:
Bewersdorf, Jan Philipp
[1
]
Derkach, Andriy
[2
]
Gowda, Lohith
[1
]
Menghrajani, Kamal
[3
,4
]
DeWolf, Susan
[3
]
Ruiz, Josel D.
[5
]
Ponce, Doris M.
[4
,5
]
Shaffer, Brian C.
[4
,5
]
Tamari, Roni
[4
,5
]
Young, James W.
[4
,5
,6
]
Jakubowski, Ann A.
[4
,5
]
Gyurkocza, Boglarka
[4
,5
]
Chan, Alexander
[7
]
Xiao, Wenbin
[7
]
Glass, Jacob
[3
,4
]
King, Amber C.
[8
]
Cai, Sheng F.
[3
,4
]
Daniyan, Anthony
[3
,4
]
Famulare, Christopher
[3
]
Cuello, Bernadette M.
[3
]
Podoltsev, Nikolai A.
[1
]
Roshal, Mikhail
[7
]
Giralt, Sergio
[4
,5
]
Perales, Miguel-Angel
[4
,5
]
Seropian, Stuart
[1
]
Cho, Christina
[4
,5
]
Zeidan, Amer M.
[1
]
Prebet, Thomas
[1
]
Stein, Eytan M.
[3
,4
]
Tallman, Martin S.
[3
,4
]
Goldberg, Aaron D.
[3
,4
]
Stahl, Maximilian
[3
,4
]
机构:
[1] Yale Univ, Sch Med, Dept Internal Med, Sect Hematol, New Haven, CT 06510 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY 10065 USA
[3] Mem Sloan Kettering Canc Ctr, Dept Med, Leukemia Serv, New York, NY 10065 USA
[4] Weill Cornell Med Coll, New York, NY USA
[5] Mem Sloan Kettering Canc Ctr, Dept Med, Adult Bone Marrow Transplantat Serv, New York, NY 10065 USA
[6] Rockefeller Univ, 1230 York Ave, New York, NY 10021 USA
[7] Mem Sloan Kettering Canc Ctr, Dept Pathol, New York, NY 10065 USA
[8] Mem Sloan Kettering Canc Ctr, Dept Pharm, New York, NY 10065 USA
基金:
美国国家卫生研究院;
关键词:
Acute myeloid leukemia;
AML;
MDS;
venetoclax;
transplant;
RELAPSE;
D O I:
10.1080/10428194.2021.1966788
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
The role of allogeneic hematopoietic cell transplant (allo-HCT) as consolidation after initial venetoclax therapy and the efficacy of venetoclax salvage therapy for relapse after allo-HCT in patients with acute myeloid leukemia (AML) are unclear. We conducted a retrospective study of patients with AML or myelodysplastic syndrome (MDS) who received venetoclax either before or after allo-HCT at Memorial Sloan Kettering Cancer Center and Yale University from 11 August 2016 to 16 November 2020. Among 39 heavily pretreated patients who received venetoclax before allo-HCT, median OS from allo-HCT was not reached after a median follow up of 12.5 months resulting in a 12-month OS estimate of 79.0%. In 37 patients who had received venetoclax-based combinations as salvage therapy after allo-HCT, the overall response rate was 32% with a median OS of 4.7 months (12-month OS estimate: 43.4%). Four patients underwent a second allo-HCT following venetoclax-based salvage therapy suggesting it as a potential salvage treatment option.
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页码:3394 / 3401
页数:8
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